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Carter James Andersen, DPM
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1912583881

Carter James Andersen is a Student in an Organized Health Care Education/Training Program based in Mishawaka, IN. Carter James Andersen practices in Mishawaka, IN and has the professional credentials of DPM. The NPI Number for Carter James Andersen is 1912583881 and holds a License No. (Indiana).

The current practice location address for Carter James Andersen is 611 E Douglas Rd Ste 101, Mishawaka, IN and can be reached out via phone at 574-335-6800.

Location: 611 E Douglas Rd Ste 101, Mishawaka, IN, 46545-1464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912583881
Provider Name
Carter James Andersen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 101, Mishawaka, IN, 46545-1464
Phone Number
574-335-6800
Fax Number
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 101
City
Mishawaka
State
Indiana
Zip
46545-1464
Phone Number
574-335-6800
Fax Number
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 101
City
Mishawaka
State
Indiana
Zip
46545-1464
Phone Number
574-335-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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